DEDRIC MARVIN MANGUM
NPI 1740859909
Non-emergency Medical Transport (VAN) in Roxboro, NC

Q: What is Dedric Mangum's NPI number?

The NPI number for Dedric Mangum is 1740859909. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Dedric Mangum's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

Q: When was this NPI record last updated?

The NPPES record for Dedric Mangum was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2021

178 ISAAC TRL, ROXBORO, NC 27574(336) 592-3989 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dedric Marvin Mangum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEDRIC MARVIN MANGUM (NPI 1740859909) is an individual non-emergency medical transport (van) provider in Roxboro, North Carolina and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1740859909

Entity TypeIndividualMale

Primary Taxonomy343900000X

Provider Legal NameDEDRIC MARVIN MANGUM

Location Address178 ISAAC TRLRoxboro, NC 27574-9086

Mailing Address178 Isaac TrlRoxboro, NC 27574-9086 · (336) 592-3989

Phone(336) 592-3989

Sole ProprietorYes

Enumeration DateJune 22, 2021

NPPES CertifiedJune 22, 2021

✔ NPI 1740859909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services

Taxonomy Code343900000X

Definition

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

178 ISAAC TRL, Roxboro, NC 27574

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dedric Mangum's NPI number?

The NPI number for Dedric Mangum is 1740859909. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Dedric Mangum located?

Dedric Mangum practices at 178 Isaac Trl, Roxboro, NC 27574. The listed phone number is (336) 592-3989.

What is Dedric Mangum's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for Dedric Mangum was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.